National Provider Identifier Database

ELITE HEALTHCARE PHYSICAL MEDICINE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

ELITE HEALTHCARE PHYSICAL MEDICINE
307 ADAMSON SQ
CARROLLTON, GA30117-3213
Phone: 770-214-9146
Fax: 770-214-9166
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Family 363LF0000X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for ELITE HEALTHCARE PHYSICAL MEDICINE

NPI Number 1669736120
Legal business name
LBN
ELITE HEALTHCARE PHYSICAL MEDICINE
Authorized official RYAN WEBER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/29/2012
Last updated 06/29/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 052922
  • GA License #: CHIR007565
  • GA License #: RN148627

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ELITE HEALTHCARE PHYSICAL MEDICINE

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